The Duty To Protect Doctrine

There are various interpretations of the Duty to Protect Doctrine across the country.  Unfortunately, the language can be nuanced and sometimes vague altogether.  There is no uniform language of instructions in many circumstances.  Be that as it may, therapists providing psychological or clinical sessions with patients have an important role in guarding the latter’s privacy.

First, the therapist should exhibit professionalism in attitude and behavior.  Second, the therapist should provide the best treatment for the patient’s condition that their expertise allows.  Third, the sessions should be held in the most secure office location imaginable.  Fourth, conversations between the therapist and the patient in those sessions are confidential.  Fifth, those conversations, when necessary and appropriate, can include the therapist’s supervisor for guidance.  Again, these particular conversations are held privately.  Sixth, the electronic filing system of patients’ medical records needs to have the utmost security system installed before a therapist even thinks about having their first patient.  Finally, prescriptions made by the clinician for the patient can be considered correspondence, but that correspondence is solely between the therapist and the patient. 

As an aside, when a patient threatens someone’s life, the therapist can throw out patient confidentiality altogether.  Is the threat legitimate?  They will have to use discernment to figure that out.  The therapist will have entered the Duty To Warn Doctrine arena when they deem the threat valid!  They will need to understand what their statute indicates before contacting the intended target, the intended target’s family, and finally, the police.  In that order, to prevent another Tarasoff case!

Vikki

Please Join Me In Making Easter A Lot Brighter For Those In Need

911memorial.org

Children And Nature Network

Children’s Defense Fund

Doctors Without Borders

First Responders Children’s Foundation

Habitat for Humanity

International Medical Corps

Make-A-Wish Foundation

Memorial Sloan Kettering

Mental Health America

No Kid Hungry

Paralyzed Veterans of America

St. Jude Children’s Hospital

Veterans of Foreign Wars

Wounded Warrior Project

United Service Organizations (USO)

THANK YOU!

Vikki

Placing Our Collective Arms Around Young People From A Dreaded Virus: HIV-AIDS Awareness

Human Immunodeficiency Virus (HIV), when left untreated with more contemporary medicines, can result in Acquired Immunodeficiency Syndrome (AIDS) for the person infected (World Health Organization, 2024).

THE DEMOGRAPHICS 

CELEBRITIES, FIRST*

For those of us who lived through the era decades ago, it was nearly impossible to watch the evening news without the newscaster announcing that another famous person had perished from the virus that causes AIDS.  

Hollywood lost beloved individuals (i.e., acting performers, comedians, dancers, singers, musicians) we grew up watching on television, at the movies, and at concerts.  Along with them were playwrights, interior designers, directors, producers, and many other talented individuals whose eternal light was dimmed.  There were athletes we admired who experienced an untimely death from this destructive virus (Dobbins, 2021), (Shnayerson, 2013).

The fashion industry suffered an implosion of deaths of fashion designers, soon-to-be designers, photographers, models, cosmetic artists, stylists, and others who worked behind the scenes at fashion photo shoots and fashion shows because of HIV/AIDS (Doonan, 2013).  Some of us may have purchased clothing, perfumes, colognes, and accessories from these designer lines.  

Burke (2025) included a listing of more famous names who lost their battle with the disease in “Famous People Who Died Of AIDS”, which shows people from the worlds of work in journalism, science, literature, politics, business, and other industries.

WHEN THE VIRUS STARTED COMING AFTER REGULAR PEOPLE

The National Library Of Medicine (1991) talked about the women who became infected with HIV:  “In 1989, eight years after the first report of a woman with AIDS, the number of cases of AIDS among women exceeded 10,000, accounting for roughly 9 percent of all reported cases in the United States. In addition, women constituted a growing proportion of all adult AIDS cases during this time period. Prior to 1984, women accounted for only about 7 percent of such cases; in 1989 the percentage had increased to slightly more than 10 percent. Through September 1990, 14,452 cases of AIDS had been reported among women, and approximately one-third of these cases were reported in the previous year (CDC, 1990).”

Furthermore, “Unlike the majority of cases among men, AIDS among women is inextricably linked to intravenous (IV) drug use. Of the 71 percent of female adult cases associated with IV drug use, 51 percent of these women were IV drug users themselves and 20 percent were sexual partners of IV drug users. Overall, 32 percent of women with AIDS reported sexual contact with high-risk male partners (including IV drug users). The impact of IV drug use can also be seen in the geographic, racial, and age distributions of women with AIDS. In fact, IV drug use may be the principal determinant of the demographic patterns that have been observed thus far” (National Library Of Medicine, 1991).

Unfortunately, pregnant women who became infected with HIV decades ago transmitted the disease to their infants.

Currently, for pregnant women infected with HIV, there are antiretroviral medications that need to be taken throughout their pregnancies.  Also, for infected women with high viral loads (i.e., over 1,000) and unknown viral loads, a C-section is required to prevent the spread of the disease to their infants (i.e., perinatal infection) (HIVinfo.nih.gov, 2024).**

THE BLOOD SUPPLY PRODUCTS:  WERE THEY SAFE?

When HIV/AIDS arrived on the scene, the experts were unsure what they were dealing with!  They needed to understand the virus’s modus operandi.

The National Library Of Medicine (1995) emphasized that “The events marking the emergence of HIV in the United States and its transmission through blood and blood products are best understood in four periods. (1) Through the end of 1982, people were struggling to understand an emerging disease and characterize the risk of infection. (2) In early 1983 official meetings took place and public and private decisions established the blood industry’s early response to AIDS. (3) Meetings and other occasions for decisionmaking from mid-1983 through the end of 1983 provided many opportunities for blood banks, blood product manufacturers, regulatory organizations, and other agencies to reconsider the decisions of early 1983. (4) During 1982-1985, research on AIDS led to isolation of the virus and the development of a screening test.”

The reader can learn more about America’s blood supply issue back then through the National Library Of Medicine (1995) in “HIV And The Blood Supply: An Analysis Of Crisis Decisionmaking.”

GOOD NEWS!

There is a decline in the number of diagnosed cases of HIV!  The U.S. Centers For Disease Control And Prevention (2025) reported that “Progress in HIV prevention continues with estimated HIV infections declining 12% overall in 2022 compared with 2018, driven by a decrease (30%) among people aged 13 to 24. By transmission category, estimated infections attributed to male-to-male sexual contact decreased 10% and infections attributed to male-to-male sexual contact and injection drug use declined 27%. By race and ethnicity, Black/African American people experienced a substantial decrease (18%) in estimated infections. Furthermore, estimated infections fell 16% in the South.”

THE PREVENTION OF BECOMING INFECTED WITH HIV/AIDS

The U.S. Centers For Disease Control And Prevention (2024) has an excellent article with various recommendations for keeping people safe from this disease.

FINALLY

What also needs to be emphasized is that when a person has unprotected sex with someone, they are not only sharing bodily fluids with that individual.  They are sharing bodily fluids with EVERYONE that person has ever had sex with.  

Be careful!

Vikki

References

Burke, J. (2025).  Famous People Who Died Of AIDS.  Retrieved From https://www.ranker.com/list/famous-people-who-died-of-aids/calistylie

Dobbins, L. (2021).  23 Celebrities Who Lost Their Battle With AIDS.  Retrieved From https://www.hivplusmag.com/people/2021/11/11/celebrities-famous-died-death-aids-hiv

Doonan, S. (2013).  Remembering Fashion’s Fallen Heroes.  Retrieved From https://slate.com/human-interest/2013/09/aids-hit-the-fashion-industry-like-a-sledgehammer-lets-not-forget-its-victims.html

HIVinfo.nih.gov.  (2024).  HIV Medicines During Pregnancy And Childbirth.  Retrieved From https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-medicines-during-pregnancy-and-childbirth

National Library Of Medicine. (1995).  HIV And The Blood Supply.  An Analysis Of Crisis Decisionmaking.  Retrieved From https://www.ncbi.nlm.nih.gov/books/NBK232419/

National Library Of Medicine. (1991).  National Center For Biotechnology Information.  Describing The Epidemic Of HIV Infection And AIDS Among Women And Children In The United States.  Retrieved From https://www.ncbi.nlm.nih.gov/books/NBK234066/

Shnayerson, M. (2013).  One By One.  AIDS:  In Memoriam.  Retrieved From https://www.vanityfair.com/culture/1987/03/devastation-of-aids-1980s

U.S. Centers For Disease Control And Prevention. (2025).  HIV Data.  Estimated HIV Incidence And Prevalence.  Retrieved From https://www.cdc.gov/hiv-data/nhss/estimated-hiv-incidence-and-prevalence.html

U.S. Centers For Disease Control And Prevention. (2024).  Preventing HIV.  Retrieved From https://www.cdc.gov/hiv/prevention/index.html

World Health Organization. (2024).  HIV And AIDS.  Key Facts.  Retrieved From https://docs.google.com/document/d/1McE8dd3Pq-1dTh7XLzqGdg0YDnS_n0n241IKFG9nLAU/edit?tab=t.0

________________________

*The usage of famous names is for the sole purpose of demonstrating how ruthless the virus became during the AIDS epidemic.  The usage of famous names is NOT for the purpose of exploitation!

**These antiretroviral drugs that pregnant women use throughout their pregnancies are the same drugs recommended for ALL people diagnosed with HIV.

A DELICATE SUBJECT AFFECTING MILLIONS OF AMERICANS

Psychology occasionally steps outside the discipline and looks at social problems occurring in society.  Instead of discussing, for example, how schizophrenia is associated with Alzheimer’s, how insomnia can become linked to weight gain, how people taking certain medications should stay away from eating grapefruit products, what exactly is causing the increase in autism among children, and other worthwhile topics, psychology takes a brief sabbatical and converges with sociology.  Sociology can help explain circumstances that are happening within society and the correct approaches to how those particular issues can be remedied.  After all, people affected by the phenomenon can end up in a therapist’s office seeking advice as a result!

Thus, an important conversation about illiteracy, and the Americans who are personally dealing with the issue!

THE NUMBERS ARE GRIM

Parker (2025) indicated “Approximately 79% of adults in the United States have medium to high English literacy skills, leaving about 21%. These 21% of the adults with low literacy rates amount to approximately 43 million adults in the country.”  This information coincides with what Craft (2025) reported earlier this year.

Parker (2025) also mentioned:

As an aside, a state’s literacy rate is the average of all the cities within that state.  Thus, a state can have a respectable literacy rate, while a few cities within the state require important resources to help members of the population learn important life skills.

INSPIRING!  PEOPLE TAKING THE INITIATIVE TO IMPROVE THEIR QUALITY OF LIFE

Morris (2025) pointed out that Seeds of Literacy is an important resource that helps individuals become proficient in critical life skills.  In his article “Why Are So Many Adults Struggling With Low Literacy In Cleveland And Beyond?”, he spoke with individuals who participated in the program and the issues they faced during their early years in the public school system.

The problems described in the article that interfered with quality education are varied (Morris, 2025):

Family responsibilities

The breakdown of the family

Self-esteem issues

Instructor indifference

Inadequate curriculum

Learning disabilities

The lack of resources within the school district to address students with learning disabilities

School desegregation (busing) (i.e., students dropping out of the system altogether)

SEEDS OF LITERACY IS EXTREMELY EFFECTIVE!

Seeds of Literacy CEO Bonnie Entler said the nonprofit is seeing increasing demand for its services, year after year. Its model allows students to come as they are, whenever they’re able, for as long as they like, with three sessions – in the morning, afternoon and evening. There’s a virtual classroom and assistance with learning how to use computers” (Morris, 2025).

PROGRAMS AVAILABLE ACROSS THE COUNTRY

In Houston, Texas, the Barbara Bush Houston Literacy Foundation (2025) is doing its part in tackling the illiteracy issue with “Houston’s Adult Literacy Blueprint.”

The National Coalition For Literacy (2025) has a page titled “Adult Learners’ Stories” where participants discuss completing their GEDs, others earning their high school diplomas, and their journeys in the program.

ProLiteracy.org (2025) in Syracuse, New York has a program where people can volunteer with “Teach An Adult To Read.  Inspire The World To Change.”

While some people believe they have learning disabilities, this author believes that everyone learns differently!  Learning Disabilities Of America (2025) offers various learning methodologies for individuals from San Jose, California (Barton Reading And Spelling System), Prides Crossing, Maine (Landmark Methodology), Bloomington, Minnesota (Project READ), Bellevue, Washington (Slingerland Approach), and other parts of America with their independent programs.

Finally, a person has to admit that illiteracy is an unpleasant national issue to address!  However, the best way to resolve the problem is to bring it to the forefront and acknowledge the resources available, so that people can obtain access to those resources and start on a path to a better quality of life and more opportunities.  We’re talking about critical life skills here.

That’s it!

Vikki

References

Barbara Bush Houston Literacy Foundation.  (2025). Houston’s Adult Literacy Blueprint.  Retrieved From https://www.barbarabushhouston.org/adultliteracyblueprint

Craft, S. (2025).  48+U.S. Literacy Statistics 2025.  Retrieved From https://www.thinkimpact.com/literacy-statistics/

Learning Disabilities Association Of America. (2025).  Proven Methods For Adults With Word Reading Challenges. Retrieved From https://ldaamerica.org/info/adult-literacy-reading-programs/

Morris, C. (2025).  Why Are So Many Adults Struggling With Low Literacy In Cleveland And Beyond?  Retrieved From https://www.ideastream.org/education/2025-03-07/why-are-so-many-adults-struggling-with-low-literacy-in-cleveland-and-beyond

National Coalition For Literacy.  (2025).  Adult Learners’ Stories.  Retrieved From https://nationalcoalitionforliteracy.org/advocacy/advocacy-from-strengths/adult-learners-stories/

Parker, A. (2025).  U.S. Literacy Rate 2025 – New Statistics & Data.  Retrieved From https://www.prosperityforamerica.org/literacy-statistics/

ProLiteracy.org.  (2025).  Volunteer.  Teach An Adult To Read.  Inspire The World To Change.  Retrieved From https://www.proliteracy.org/Get-Involved/Volunteer/

THE NUMEROUS HEALTH BENEFITS FROM READING BOOKS

[VIDEO:  THE POWER OF BOOKS:  25 HEALTH BENEFITS OF DAILY READING  (SOURCE:  EUREKA, 2023)]

As an aside, in anticipation of Valentine’s Day, a book is a lovely gift for that special someone!

Vikki

Reference

Eureka. (2023, May 31).  The Power Of Books:  25 Health Benefits Of Daily Reading. [VIDEO].  Retrieved From https://www.youtube.com/watch?v=yuJdIETNaRY